MEDICARE: MIRAJOY RESIDENTIAL CARE FACILITIES INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	315P00000X	Intellectual Disabilities Intermediate Care Facility		CA

General Provider Information

NPI Number	:	1114196631
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MIRAJOY RESIDENTIAL CARE FACILITIES INC

Provider Business Mailing Address
First Line	:	25376 MAXIMUS ST
Second Line	:
City	:	MISSION VIEJO
State	:	CA
Zip	:	92691-4518
Country	:	US
Telephone Number	:	949-636-2478
Fax Number	:	949-587-9453

Provider Business Practice Location Address
First Line	:	23711 PROSPECT VALLEY DR
Second Line	:
City	:	DIAMOND BAR
State	:	CA
Zip	:	91765-1637
Country	:	US
Telephone Number	:	909-860-2150
Fax Number	:	909-860-2150

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	JULIANA CAMPOS CONCEPCION
Credential	:
Telephone Number	:	949-636-2478

Provider Enumeration Date	:	02/28/2008
Last Update Date	:	02/28/2008

Similar Medicare Providers

1679781884 — L. MARILLAC GROUP HOME
Practice Location Address:

23711 PROSPECT VALLEY DR
DIAMOND BAR, CA
91765-1637

Practice Phone: 909-821-3698
Practice Fax: 909-860-7614

1831870393 — INFINITE BLESSINGS CARE HOME INC.
Practice Location Address:

23711 PROSPECT VALLEY DR
DIAMOND BAR, CA
91765-1637

Practice Phone: 909-895-7262
Practice Fax: 909-895-7262

1861445900 — EDITH SNYDER LYMAN LCSW
Practice Location Address:

322 MAIN ST
BAR HARBOR, ME
04609-1637

Practice Phone: 207-288-8604
Practice Fax:

1245272962 — CAROL WOOLMAN I LCSW
Practice Location Address:

322 MAIN ST
BAR HARBOR, ME
04609-1637

Practice Phone: 207-288-8602
Practice Fax: 207-288-8604

1871689257 — MS. ANGELA DELVECCHIO FNP
Practice Location Address:

322 MAIN ST , CADILLAC FAMILY PRACTICE
BAR HARBOR, ME
04609-1637

Practice Phone: 207-288-5119
Practice Fax: 207-288-8449

1760578157 — MR. ALAN F GRAFF MS, GACS
Practice Location Address:

322 MAIN ST , MDI BEHAVIORAL HEALTH CENTER
BAR HARBOR, ME
04609-1637

Practice Phone: 207-288-8604
Practice Fax: 207-288-8602

Directions to “MIRAJOY RESIDENTIAL CARE FACILITIES INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.